BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINICAP DISCONNECT CAP

    MDR report key: 171043 · Received June 2, 1998

    Report

    Report Number
    1423500-1998-01369
    Event Type
    Malfunction
    Date Received
    June 2, 1998
    Date of Event
    May 1, 1998
    Report Date
    May 8, 1998
    Manufacturer
    BAXTER HEALTHCARE CORP
    Product Code
    KDJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A HEALTH CARE PROFESSIONAL REPORTED ONE INCIDENT OF A CRACKED MINICAP, NOTED DURING USE. ACCORDING TO THE HEALTH CARE PROFESSIONAL THERE WAS NO PT INJURY AND NO MEDICAL INTERVENTION ASSOCIATED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINICAP DISCONNECT CAP MINICAP KDJ BAXTER HEALTHCARE CORP NA GD588251

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN